Provider Demographics
NPI:1811518400
Name:RAGHUNATH, ARVIND (MBBS, PHD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:
Last Name:RAGHUNATH
Suffix:
Gender:M
Credentials:MBBS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1887 WHITNEY MESA DR # 1202
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2069
Mailing Address - Country:US
Mailing Address - Phone:929-335-3708
Mailing Address - Fax:
Practice Address - Street 1:1887 WHITNEY MESA DR # 1202
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2069
Practice Address - Country:US
Practice Address - Phone:929-335-3708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics
No174400000XOther Service ProvidersSpecialist